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Vol 4, No 1 (2008)
Prace poglądowe
Published online: 2008-02-07
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Metabolic syndrome - controversies between academic debate and real world medical practice

Jan Tatoń, Małgorzata Bernas
Endokrynol. Otył. Zab. Przem. Mat 2008;4(1):13-26.

open access

Vol 4, No 1 (2008)
Prace poglądowe
Published online: 2008-02-07

Abstract

The expression „metabolic syndrome” points to the coexistence of selected, mainly metabolic factors, forming the increased global risk of atherosclerosis and of its complications. However the delineation of such cluster of metabolic, atherogenic risk continue to be under discussion resulting in many not always well evidenced definitions. They are related to selected on different levels of evidence criteria, which are not equivalent. Primary etiological mechanisms of the metabolic syndrome are not known. This fact impairs all actual definition. It is also the cause at many diagnostic, preventive and therapeutic difficulties in clinical practice. The number of the risk factors of atherosclerosis and of its complications is almost always greater than the frames of definitions; the risk factors are also quantitatively different. Therefore their delineation with the more dynamic concept emphasises of “angiometabolic” risk could be more practical. It the need for individualization, which could be more useful than the academic discussion about the definitions.
It follows that such approach should be based on more individual diagnostic plans. The proposal of such plan is presented.

Abstract

The expression „metabolic syndrome” points to the coexistence of selected, mainly metabolic factors, forming the increased global risk of atherosclerosis and of its complications. However the delineation of such cluster of metabolic, atherogenic risk continue to be under discussion resulting in many not always well evidenced definitions. They are related to selected on different levels of evidence criteria, which are not equivalent. Primary etiological mechanisms of the metabolic syndrome are not known. This fact impairs all actual definition. It is also the cause at many diagnostic, preventive and therapeutic difficulties in clinical practice. The number of the risk factors of atherosclerosis and of its complications is almost always greater than the frames of definitions; the risk factors are also quantitatively different. Therefore their delineation with the more dynamic concept emphasises of “angiometabolic” risk could be more practical. It the need for individualization, which could be more useful than the academic discussion about the definitions.
It follows that such approach should be based on more individual diagnostic plans. The proposal of such plan is presented.
Get Citation

Keywords

metabolic syndrome; angiometabolic risk; clinical aspects

About this article
Title

Metabolic syndrome - controversies between academic debate and real world medical practice

Journal

Endocrinology, Obesity and Metabolic Disorders

Issue

Vol 4, No 1 (2008)

Pages

13-26

Published online

2008-02-07

Page views

1215

Article views/downloads

5980

Bibliographic record

Endokrynol. Otył. Zab. Przem. Mat 2008;4(1):13-26.

Keywords

metabolic syndrome
angiometabolic risk
clinical aspects

Authors

Jan Tatoń
Małgorzata Bernas

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